Blood coagulation factor (F)VIII functions as a cofactor in the tenase complex responsible for phospholipid-dependent FIXa-mediated activation of FX in plasma. Congenital defect of FVIII causes severe bleeding disorder hemophilia(H) A. Intravenous FVIII replacement therapy is the gold standard therapy in patients with HA (PwHA), but requirement for frequent dosing of FVIII owing to pharmacokinetics burdens PwHA a lot. Efanesoctocog alfa is a new class of recombinant FVIII and has ability to overcome conceivable unmet needs in treatment for PwHA.